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The patient is a 77-year-old who presents with pain in the left wrist. She reports injuring it in a fall.
View the image taken (Figure 1) and consider what your diagnosis and next steps would be.
Resolution of the case is described on the next page.

Clinical Challenge 2: November, 2010

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services